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What part of MN? (I grew up in "Burrr"midji)

I stand corrected. Congrats! It is such a fluid system with everchanging parameters based on each individual response to each question. I don't think it's possible to quantify the results formula.

NREMT-P : 80 passed 1st attempt. Looked at a few of these replies and am guessing that EMT-B can pass earlier and later than P. I haven't heard of anyone passing with less than 70's or more than 110's for the P.

Used JB for NREMT-P and passed first attempt in 80 questions. You obviously have to do your own homework to be truly prepared, but nonetheless I agree w/18G. I really appreciated the fact that whether you got an answer right or wrong, you learned more about it through the provided...

No further paralytic in the ER. Just the prying with tongue blades as described originally. The jaws then stayed right where he put them without the aid of a bite block. Although not unheard of, it rarely reaches 80F on the Pacific Northwest Coast.

We do store our sux at room temp on the rig and only dispose it at the expiration date, I know this is a questionable practice. It's been the practice for many years, well before I came to the system. It's been asked and answered through 3 different MPDs over at least 15 years that I know of...

Thanks and thanks as well for the further insight in the pm's.

I've seen T shirts at a few different Fire/EMS events with big, bold lettering on back "Unconscious Butt Breathing"

I'd be shocked if no one else has been told " enter in the back door".

Our protocols don't mention Fentanyl for APE, though Fentanyl is an acceptable substitute for MS per our protocols. With MS being so difficult to come by, along with Valium, nearly all ACLS Jets, etc., is it possibly as simple as we're hearing more about it because it's what's available? I...

We did suction the npa with a 14 french and got a fairly sig return. For all others that keep raising the other meds/ other medical prob questions: I've relayed everything we were told, have already been wondering if she was self medicating with u/k meds and was assuming that night that there...

IV was good, wondered the same thing, withdrew, got good return and continued to flush, 1000mL bag in by the time we reached ER.

Not sure if your replying to me or Vene. The shingles really didn't concern me much, outside of the possibility that whatever her infection process was may have affected CNS and/or respiratory and therefore somehow blocked the effectiveness of the paralytic.

Yes trismus prior to succs. Yes coffee ground emesis that eventually just turned to brown fluid with out much "coffee grounds". Curiously did NOT see the "chicken pox" or anything similar anywhere on the body. Though pt was on Rx for it (Valtrex and vicodin prn).

Yes, read the article. Very similar on many counts and does lend itself to the idea that the succs didn't help, but also the succs wasn't the cause of the trismus either, it was already present.

Good point. Couldn't get the tube, if I thought pt needed that, than I should have been more willing to keep being aggressive with a cric.

Thinking I need to clarify. I'm pretty confident that nothing would have changed the outcome, though I do appreciate the suggestions and will consider all of them on future calls. Was hoping somebody might have had a similar experience in which paralytics didn't work.

Don't really have a good answer for you. BVM was moving air though admittedly not very effectively, the 20 minutes in the rig seemed like 2 when it was all over.

We do have cric kits as an option and I did consider it, didn't like it enough to try though. Drs at ER both agreed it was an option to consider also but stated they were glad we didn't do it. They haven't seen many go well, even in the hospital, let alone pre-hosptial.

..and yes, according to first responders report, pt initially a+oX3, BP 120s/70s, unknown rate.